MRS. KRISTEN WALLIS
NPI 1912322140
Marriage & Family Therapist in San Diego, CA

Q: What is Kristen Wallis's NPI number?

The NPI number for Kristen Wallis is 1912322140. It was assigned to this individual provider in the NPPES registry on February 25, 2014. The provider is also known as Ms. Kristen Bennett.

Q: What is Kristen Wallis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Wallis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 25, 2014

7986 DAGGET ST, SAN DIEGO, CA 92111(858) 300-0460(858) 300-0461 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 21, 2017 (3 updates tracked since 2017).

On this page

About Mrs. Kristen Wallis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTEN WALLIS (NPI 1912322140) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since February 2014. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1912322140

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. KRISTEN WALLIS

Location Address7986 DAGGET STSan Diego, CA 92111-2321

Mailing Address7986 Dagget StSan Diego, CA 92111-2321 · (858) 300-0460 · Fax (858) 300-0461

Phone(858) 300-0460

Fax(858) 300-0461

Sole ProprietorNo

Enumeration DateFebruary 25, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1912322140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

7986 DAGGET ST, San Diego, CA 92111

Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Kristen Bennett

Secondary Practice Location 1

Location 17155 Mission Gorge RdSan Diego, CA 92120-1130 · Phone (858) 300-0460 ext. 107

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSIO AUGER LMFT

Marriage & Family Therapist